Application of nursing intervention based on the information-motivation-behavioral skills model in perioperative nursing of children with concealed penis phalloplasty
10.3760/cma.j.cn115682-20230906-00937
- VernacularTitle:基于信息-动机-行为技巧模型的护理干预在隐匿性阴茎矫形术患儿围手术期护理中的应用
- Author:
Ping ZHENG
1
;
Zhihua HONG
;
Xiaohong ZHU
;
Li WAN
;
Lin LIU
Author Information
1. 嘉兴市妇幼保健院儿科，嘉兴 314000
- Keywords:
Perioperative period;
Information-motivation-behavioral skills model;
Concealed penis;
Modified concealed penis phalloplasty;
Anxiety
- From:
Chinese Journal of Modern Nursing
2024;30(19):2614-2619
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of nursing intervention based on the information-motivation-behavioral skills (IMB) model in perioperative nursing of children undergoing concealed penis phalloplasty.Methods:Using the convenient sampling method, a total of 86 children who were admitted to and underwent concealed penis phalloplasty in Jiaxing Maternity and Child Health Care Hospital were selected as the research objects from January 2022 to January 2023. They were randomly divided into the observation group and the control group, with 43 cases in each group. The control group was treated with routine nursing mode, and the observation group was treated with IMB model nursing intervention based on routine nursing. The heart rate (HR) and mean arterial pressure (MAP) levels of children in the two groups were recorded at five time points, such as after preoperative visit (T 0), when leaving the preparation room period (T 1), before anesthesia induction (T 2), when leaving the anesthesia recovery room (T 3) and 24 h postoperative follow-up (T 4). The children were evaluated using Children's Emotional Adjustment Scale Preschool Version (CEAS-P), Modified Yale Preoperative Anxiety Scale (m-YPAS), the Induction Compliance Checklist (ICC) and Pediatric Anesthesia Emergence Delirium (PAED) . Results:After intervention, the CEAS-P scores in the observation group were higher than those in the control group, while the m-YPAS, ICC and PAED scores were lower than those in the control group, and the differences were statistically significant (all P<0.01). There were statistically significant differences in HR and MAP levels of children undergoing concealed penis phalloplasty between the two groups at different time points ( P<0.01). HR and MAP levels at T 0, T 1, T 2, T 3 and T 4 in observation group were lower than those in control group, and the differences were statistically significant (all P<0.05). There was statistically significant differences in the interaction between nursing intervention and HR and MAP over time ( P<0.01) . Conclusions:Nursing intervention based on the IMB model can effectively relieve the psychological anxiety of children with concealed penis phalloplasty in perioperative period and improve surgical safety.
